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General NPI Number Information
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NPI Number | 1699921742
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Entity Type | Organization
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Legal Business Name | RESIDENTIAL RESOURCES, INC.
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 10/03/2011
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Provider Practice Location Address
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Address Line | 2545 RAVENHILL DR SUITE 100
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-9617
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Country | US
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Telephone | 910-635-8076
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Fax | 910-429-0777
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Provider Business Mailing Address
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Address Line | PO BOX 40236
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City | FAYETTEVILLE
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State | NC
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Zip | 28309-0236
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Country | US
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Telephone | 910-635-8076
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Fax | 910-429-0777
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD ROBERT ZEIBER
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Credential | ACSW, LCSW
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Telephone | 910-635-8076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C000254
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License Number State | NC
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